Healthcare Provider Details

I. General information

NPI: 1326674383
Provider Name (Legal Business Name): FREDDY ALONSO ESCOBAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: FREDDY ALONSO ESCOBAR-MONTEALEGRE MD

II. Dates (important events)

Enumeration Date: 03/20/2020
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 N ALAFAYA TRL STE 800
ORLANDO FL
32826-4755
US

IV. Provider business mailing address

720 W OAK ST STE 201
KISSIMMEE FL
34741-4998
US

V. Phone/Fax

Practice location:
  • Phone: 218-412-8003
  • Fax: 407-650-5044
Mailing address:
  • Phone: 407-518-2702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME167407
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: